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KAELYN PATE
NPI 1366299489
Marriage & Family Therapist in Lubbock, TX

Active since May 06, 2024PECOS Enrolled
125 CHICAGO AVE, LUBBOCK, TX 79416(785) 825-0541 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kaelyn Pate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAELYN PATE (NPI 1366299489) is an individual marriage & family therapist in Lubbock, Texas, licensed in Texas (204673) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366299489
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKAELYN PATE
Location Address125 CHICAGO AVELubbock, TX 79416-1605
Mailing Address110 W Otis AveSalina, KS 67401-8713 · (785) 825-0541 · Fax (785) 825-0062
Phone(785) 825-0541
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1366299489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in TX · 204673
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
125 CHICAGO AVE, Lubbock, TX 79416
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaelyn Pate is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133617749
PECOS Enrollment IDI20251023004839
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kaelyn Pate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Nicole Black, Phd, Lpc-S, Lcdc, Rpt PLLC
4.5 mi
Professional
4601 66TH ST STE D
Lubbock, TX 79414
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
NPI 1780270173 (806) 630-0126

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. FRANCIS COMMUNITY SERVICES IN TEXAS, INC.
Counselor (Mental Health)
125 CHICAGO AVE
LUBBOCK, TX 79416
Lubbock County (785) 825-0541
MS. TRISHA ELAINE NAVA MA LPC BSN RN
Counselor (Professional)
125 CHICAGO AVE
LUBBOCK, TX 79416
Lubbock County (806) 318-0885
KRISTINA KAY BROWN LPC
Counselor (Mental Health)
125 CHICAGO AVE
LUBBOCK, TX 79416
Lubbock County (806) 549-1169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaelyn Pate's NPI number?

The NPI number for Kaelyn Pate is 1366299489. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Kaelyn Pate located?

Kaelyn Pate practices at 125 Chicago Ave, Lubbock, TX 79416. The listed phone number is (785) 825-0541.

What is Kaelyn Pate's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kaelyn Pate enrolled in Medicare?

Yes. Kaelyn Pate is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaelyn Pate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaelyn Pate reassigns Medicare benefits to Dr. Nicole Black, Phd, Lpc-S, Lcdc, Rpt PLLC (Lubbock, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaelyn Pate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaelyn Pate accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Kaelyn Pate as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaelyn Pate was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.